Business Analyst - Healthcare Claims

We are seeking a skilled Business Analyst specializing in Healthcare Claims to join our dynamic team. The ideal candidate will have a strong background in claims adjudication and a deep understanding of the US healthcare system. This role is crucial in ensuring that our claims processing is efficient, accurate, and compliant with industry standards. Key Responsibilities: - Gather and analyze business requirements related to healthcare claims, ensuring alignment with organizational goals. - Collaborate with cross-functional teams to streamline claims adjudication processes and improve overall efficiency. - Conduct thorough analysis of medical claims, including ICD-10 and CPT coding, to ensure accuracy and compliance. - Develop and maintain documentation related to business requirements and process flows. - Provide support in the authorization process, ensuring that all claims are processed in a timely manner. - Identify areas for improvement within the claims processing workflow and recommend solutions. - Stay updated on industry trends and regulatory changes affecting healthcare claims. Required Skills: - Proven experience in claims adjudication and healthcare claims processing. - Strong knowledge of business analysis techniques and methodologies. - Familiarity with ICD-10 and CPT coding standards. - Excellent communication and interpersonal skills to work effectively with various stakeholders. - Ability to analyze complex data and provide actionable insights. - Strong problem-solving skills and attention to detail. If you are passionate about improving healthcare claims processes and have the required skills and experience, we encourage you to apply for this exciting opportunity.